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<div>
	<h3 class="heading">
		添加会员				<a href="http://demodaojia.ecjia.com/index.php?m=user&c=admin&a=init" class="btn plus_or_reply data-pjax" ><i class="fontello-icon-reply"></i>会员列表</a>
			</h3>	
</div>	


<form id="form-privilege"  class="form-horizontal insert"  name="theForm" action="http://demodaojia.ecjia.com/index.php?m=user&c=admin&a=insert" method="post" data-edit-url="http://demodaojia.ecjia.com/index.php?m=user&c=admin&a=edit" >
	<fieldset>
		<div class="row-fluid edit-page editpage-rightbar">
			<div class="left-bar">
				<div class="control-group formSep">
					<label class="control-label">会员名称：</label>
					<div class="controls l_h30">
												<input class="w350" type="text" name="username"  value="" />
						<span class="input-must"><span class="require-field" style="color:#FF0000,">*</span></span>
											</div>
				</div>

				<div class="control-group formSep">
					<label class="control-label">手机号码：</label>
					<div class="controls">
						<input class="w350" type="text" name="mobile_phone" value="" />
						<span class="input-must"><span class="require-field" style="color:#FF0000,">*</span></span>
					</div>
				</div>

								<div class="control-group formSep">
					<label class="control-label">登录密码：</label>
					<div class="controls">
						<input class="w350" type="password" name="password" id="password"/>
						<span class="input-must"><span class="require-field" style="color:#FF0000,">*</span></span>
					</div>
				</div>
								<div class="control-group formSep">
					<label class="control-label">确认密码：</label>
					<div class="controls">
						<input class="w350" type="password" name="confirm_password" />
						<span class="input-must"><span class="require-field" style="color:#FF0000,">*</span></span>
					</div>
				</div>

				<div class="control-group formSep">
					<label class="control-label">邮件地址：</label>
					<div class="controls">
						<input class="w350" type="text" name="email" value="" />
					</div>
				</div>

				<div class="control-group formSep">
					<label class="control-label">会员等级：</label>
					<div class="controls">
						<select class="w350" name="user_rank">
							<option value="0">非特殊等级</option>
							
						</select>
					</div>
				</div>

				<div class="control-group">
					<div class="controls">
						<button class="btn btn-gebo" type="submit">确定</button>
						<input type="hidden" name="id" value="" />  
					</div>
				</div>
			</div>
			<div class="right-bar move-mod">
				<div class="foldable-list move-mod-group">
					<div class="accordion-group">
						<div class="accordion-heading">
							<a class="accordion-toggle acc-in move-mod-head" data-toggle="collapse" data-target="#telescopic1"><strong>会员基础信息</strong></a>
						</div>
						<div class="accordion-body in collapse" id="telescopic1">
							<div class="accordion-inner">
								<div class="control-group control-group-small">
									<label class="control-label">性别：</label>
									<div class="span8 chk_radio">
																				<input type="radio" name="sex" value="0" checked="checked" /><span>保密</span>
																				<input type="radio" name="sex" value="1"  /><span>男</span>
																				<input type="radio" name="sex" value="2"  /><span>女</span>
																			</div>
								</div>
								<div class="control-group control-group-small">
									<label class="control-label">出生日期：</label>
									<div class="span8 chk_radio">
										<input name="birthday" class="date" type="text" value="" placeholder="选择日期">
									</div>
								</div>
								<div class="control-group control-group-small">
									<label class="control-label">信用额度：</label>
									<div class="span8">
										<input name="credit_line" type="text" value="0"  />
									</div>
								</div>
							</div>
						</div>
					</div>
				</div>
				
								<div class="foldable-list move-mod-group">
					<div class="accordion-group">
						<div class="accordion-heading">
							<a class="accordion-toggle acc-in move-mod-head" data-target="#collapseTwo" data-toggle="collapse"><strong>会员详细信息</strong></a>
						</div>
						<div class="accordion-body in collapse" id="collapseTwo">
							<div class="accordion-inner">
																<div class="control-group control-group-small">
									<label class="control-label">MSN：</label>
									<div class="span8">
										<input name="extend_field1" type="text" value=""  />
									</div>
								</div>
																<div class="control-group control-group-small">
									<label class="control-label">QQ：</label>
									<div class="span8">
										<input name="extend_field2" type="text" value=""  />
									</div>
								</div>
																<div class="control-group control-group-small">
									<label class="control-label">办公电话：</label>
									<div class="span8">
										<input name="extend_field3" type="text" value=""  />
									</div>
								</div>
																<div class="control-group control-group-small">
									<label class="control-label">家庭电话：</label>
									<div class="span8">
										<input name="extend_field4" type="text" value=""  />
									</div>
								</div>
															</div>
						</div>
					</div>
				</div>
							</div>
		</div>
	</fieldset>
</form>

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